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This
is the final draft of notes from the Genogram Team. These notes form the basis
for the quality tool and the Genogram Model. 2.
Definition We agreed to stay with the basic definition offered by
the ILF. A genogram is a visual, multi-genrational representation of familial
relationships and patterns of behavior. 3.
Purpose of Genograms Next we reviewed the first draft of the purpose
statement, which should, when it is finished, answer the following 3 questions: A. Who are the Customers of Genograms? B. What should they be receiving from a Genograms? C.
Therefore, what is our ultimate purpose? Who are the
customers of a genogram? A. Family (Immediate and Extended B. Outside Service Providers (Medical, Mental Health, Drug/alcohol, etc) C. The Agency (Case Workers, Supervisors, etc) D. Legal System (Courts, CASA, GAL) E.
Medical Community What should
they be receiving from a Genogram? Mechanics/Demographics/Black
and White data q Who are the members of the household and of the extended family (including their role i.e. father, mother, brother, etc) going back 3 generations wherever possible. q Location of people as needed q Nature of the relationships between these people (Distant, Close, conflictual) q Significant Life events and dates (I.e. Birth, Death, Marriage, Divorce, separation) q Clear easy to read information q
Currency – Genogram should be updated as required Social History q Alert Flag identifying when an issue exists for an individual in one of the following 7 categories: o Medical o Mental Health o Chemical Dependency o Criminal o Domestic Violence o Abuse or neglect (of extended family member) o
Other q
Explanation for the flag if it is for a non-household member since
that info wont be captured in a risk assessment or ecomap. Purpose
Statement First Draft The
purpose of a Genogram is to engage the family in visually summarizing and
illustrating familial
relationships and patterns of behavior within a family system in support of family
assessment and intervention panning. It
can: ü Help predict future possibilities of abuse or neglect based on patterns, trends and history within the family system. ü Support activities related to Kinship (as defined by the Kinship Team) ü Help all involved people learn the elements of the family system ü Communicate a social history ü Help raise the awareness of the primary family of its own patterns and trends ü Support design of interventions to break the cycles of negative behaviors ü Support identification and assessment of potential placement options ü Illustrate patterns in the extended family that are not captured in Risk Assessment or Ecomap. ü Help collect and summarize AFCAR information ü
Help ease into questioning of a family in a way that helps develop
a relationship and engage the family constructively. 4.
Standard Symbols for Genogram Most counties use the same symbols already – and they are fairly consistent with the literature. Here are the symbols we recommend for CLA:
5.
A Few Key Points of Agreement A.
For Social History a genogram is about issue identification only.
Explanations and details should be contained wither in the Risk Assessment of
Ecomap. B.
For Social History for non-household members, the Genogram is the only
place to capture relevant details of this type, so for non-household members,
the genogram should contain details. C.
The difference between the purpose of the ecomap and the genogram is as
follows: a.
Genograms exist to identify members of a family system, to identify issues
that exist for members of that system, and to provide details about those issues
for non-household members. b.
The Ecomap exists to illustrate connections and relationships that do or
do not exist that can help or hurt a family’s ability to protect their
children. D. We think that for most families, the Ecomap and Genogram could be combined on one form – an 11 x 17 sheet folded to 8 ˝ x 11. When opened the genogram would appear on the left and the ecomap on the right.
6.
Updating We offer the following recommendation: The expectation is that any new information about family
system membership or issues that exist within the system is added to the
genogram as it is received. That information is formally reviewed and updated at
every FRAM, Family Group Conference, or Dependency referral. 7. Genogram Quality Standards The Measures team, working with the ILF and with the Genogram team, Ultimately agreed on the following Quality standards, to be integrated into the Quality Database. Genogram Quality
For rating quality
of genogram, we will use the same rating scale as for risk assessment quality
(0,1,2): Ř
“0” = Not in
accordance with agency standards and expectations Ř
“1” = Not to agency
standards but will not seriously impact effectiveness – learning opportunity Ř
“2” = Fully in
accordance with agency standards and expectations We have agreed on
specific questions, as with the risk assessment quality instrument. For all
questions, if the information addressed is not available, there must be a note
to that effect on the genogram. For example, if you are unable to find the 3rd
generation, or a birth date, and you leave it blank, you will take a hit. If you
make a note (like “ 3rd gen N/A” or “BD N/A” ) you will not take a hit.
Revision 4: June, 2002
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